Advanced Endoscopy

Advanced Endoscopy Pinpoints and Treats GI Tract, Pancreatic, and Liver Diseases

UT Southwestern’s Advanced Endoscopy Program offers comprehensive and innovative care to evaluate and treat benign and malignant conditions of the upper and lower gastrointestinal (GI) tract, pancreas, and bile ducts (part of the liver). Patients can expect to receive outstanding care from our board-certified gastroenterologists and highly skilled advanced practice providers.

Using leading-edge technology and an endoscope, a medical device that allows our team to see inside a patient’s organs or other structures, our team diagnoses, manages, and/or treats:

Large colon polyps (including removing them before they become cancerous)
Diseases of the esophagus, such as achalasia and Barrett’s esophagus
Esophageal cancer
Gallbladder and biliary tract disorders, such as cholangiocarcinoma, strictures of the bile duct, and stones in the bile duct (choledocholithiasis)

Pancreatic disorders such as pancreatitis, pancreatic pseudocysts, and pancreatic cysts
Diseases of the stomach, including gastric polyps and gastric varices
Gastric (or stomach) cancer, including treatment of early gastric cancers
Complications from bariatric surgery, including fistulas and weight recurrence

Exceptional Care for a Wide Range of Conditions

UT Southwestern offers the following advanced endoscopy procedures:

Endoscopy retrograde cholangiopancreatography (ERCP)
- Biliary or pancreatic stenting, cholangioscopy, pancreatoscopy, and electrohydraulic lithotripsy (EHL)
Endoscopic ultrasound (EUS)
- Fine needle aspiration/biopsy, pseudocyst drainage, necrosectomy, fiducial placement, and celiac plexus block/neurolysis
- EUS-guided coil and glue injection, for varices
- EUS-guided gastrojejunostomy
- EUS-guided transgastric ERCP (EDGE)
- EUS-guided gallbladder drainage
Endoscopic mucosal resection (EMR) and endoscopic submucosal dissection (ESD)
Peroral endoscopic myotomy (POEM), gastric peroral endoscopic myotomy (G-POEM), and Zenker’s peroral endoscopic myotomy (Z-POEM)
Luminal stenting (esophagus, stomach, duodenum, colon)
Endoscopic suturing
- Closure of fistulas
- Transoral outlet reduction (TORe), for weight recurrence after gastric bypass
- Revisional endoscopy sleeve gastroplasty (R-ESG), for weight recurrence after sleeve gastrectomy
- Endoscopic sleeve gastroplasty (ESG), a minimally invasive procedure for weight loss
Cryotherapy and radiofrequency ablation, for Barrett’s esophagus
Transoral incisionless fundoplication (TIF), a minimally invasive procedure for treatment

Our Advanced Endoscopy team works with other UTSW specialists to provide seamless, coordinated care. This includes collaborations with our:

Pancreatic Cancer Prevention Program

Highly advanced services and care dedicated to the prevention of pancreatic cancer for patients with pancreatic cysts, as well as genetic risks or family history of pancreatic cancer.

Endobariatrics

Effective minimally invasive options for people with obesity. This includes patients interested in an endoscopic sleeve gastroplasty for the first time, as well as those with weight recurrence after having a surgical sleeve gastrectomy or Roux-en-Y gastric bypass procedure.

Our Advanced Endoscopy Care Team

We provide care at two locations in North Texas: William P. Clements Jr. University Hospital (on the main UTSW campus in the Dallas Medical District) and Texas Health Dallas. Patients can expect to receive our same level of expertise and commitment to excellence at both locations.

Research

UTSW physician-scientists are involved in a number of studies involving advanced endoscopy to develop innovative care for patients.

Physicians can refer patients to us for advanced endoscopic procedures or contact us to discuss further evaluation and/or a procedure if a patient has been diagnosed with one of the conditions we treat (from those listed above).